Individual provider · Type 1 NPI

Renee Erica Boak, QMHA

Adult Companion · Portland, OR

NPI number 1508899550 Active

Practice location

2908 NE Killingsworth St
Portland, OR 97211-6812

Call (503) 287-8009 Map

Fax (503) 287-7684

Mailing address

1706 SE Reedway St
Portland, OR 97202-5127

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Adult Companion Primary	372600000X	None listed

Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

3 other providers at this address

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About NPI 1508899550

Renee Erica Boak, QMHA's National Provider Identifier is 1508899550, issued on Jul 9, 2006. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2025.